ArticleBMC musculoskeletal disorders2010
A comparison of lower limb EMG and ground reaction forces between barefoot and shod gait in participants with diabetic neuropathic and healthy controls.
Article in BMC musculoskeletal disorders, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04732611 (Effects of Pilates Exercises Versus Walking on Mechanical and Vascular Variables of Individuals With Type 2 Diabetes Mellitus), which is not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effects of Pilates Exercises Versus Walking on Mechanical and Vascular Variables of Individuals With Type 2 Diabetes Mellitus: Randomized Clinical Trial
Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.
- Footwear and insole design features for offloading the diabetic at risk foot-A systematic review and meta-analyses.Endocrinology, diabetes & metabolism · 2021Pooled it
- Performance analysis of noninvasive electrophysiological methods for the assessment of diabetic sensorimotor polyneuropathy in clinical research: a systematic review and meta-analysis with trial sequential analysis.Scientific reports · 2020Pooled it
- Trial
- Sensorimotor and gait training improves proprioception, nerve function, and muscular activation in patients with diabetic peripheral neuropathy: a randomized control trial.Journal of musculoskeletal & neuronal interactions · 2020Trial
- Multimodal imaging of tibialis anterior muscle adaptations to neutral-position immobilization.PloS one · 2026Article
- Muscle synergies are largely unaffected in individuals with diabetes who do not have diabetic neuropathy.Clinical biomechanics (Bristol, Avon) · 2025Article
- Effect of Footwear Type on Biomechanical Risk Factors for Knee Osteoarthritis.Orthopaedic journal of sports medicine · 2023Article
- A Machine Learning-Based Severity Prediction Tool for the Michigan Neuropathy Screening Instrument.Diagnostics (Basel, Switzerland) · 2023Article
- Machine Learning-Based Diabetic Neuropathy and Previous Foot Ulceration Patients Detection Using Electromyography and Ground Reaction Forces during Gait.Sensors (Basel, Switzerland) · 2022Article
- Performance Analysis of Conventional Machine Learning Algorithms for Diabetic Sensorimotor Polyneuropathy Severity Classification.Diagnostics (Basel, Switzerland) · 2021Article
- The Design and Simulation of a 16-Sensors Plantar Pressure Insole Layout for Different Applications: From Sports to Clinics, a Pilot Study.Sensors (Basel, Switzerland) · 2021Article
- A Systematic Approach to the Design and Characterization of A Smart Insole for Detecting Vertical Ground Reaction Force (vGRF) in Gait Analysis.Sensors (Basel, Switzerland) · 2020Article
- Article
- The influence of footwear on walking biomechanics in individuals with chronic ankle instability.PloS one · 2020Article
- The use of gait analysis in the assessment of patients afflicted with spinal disorders.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018Article
- Heel impact forces during barefoot versus minimally shod walking among Tarahumara subsistence farmers and urban Americans.Royal Society open science · 2018Article
- Diabetic Neuropathy and Gait: A Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2017Review
- Evaluation of measurements of propulsion used to reflect changes in walking speed in individuals poststroke.Journal of biomechanics · 2016Article
- Intra-Rater Reliability and Minimal Detectable Change of Vertical Ground Reaction Force Measurement during Gait and Half-Squat Tasks on Healthy Male Adults.The Malaysian journal of medical sciences : MJMS · 2016Article
- 16 Weeks of Progressive Barefoot Running Training Changes Impact Force and Muscle Activation in Habitual Shod Runners.PloS one · 2016Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt is known that when barefoot, gait biomechanics of diabetic neuropathic patients differ from non-diabetic individuals. However, it is still unknown whether these biomechanical changes are also present during shod gait which is clinically advised for these patients. This study investigated the effect of the participants own shoes on gait biomechanics in diabetic neuropathic individuals compared to barefoot gait patterns and healthy controls.
methodsGround reaction forces and lower limb EMG activities were analyzed in 21 non-diabetic adults (50.9 +/- 7.3 yr, 24.3 +/- 2.6 kg/m2) and 24 diabetic neuropathic participants (55.2 +/- 7.9 yr, 27.0 +/- 4.4 kg/m2). EMG patterns of vastus lateralis, lateral gastrocnemius and tibialis anterior, along with the vertical and antero-posterior ground reaction forces were studied during shod and barefoot gait.
resultsRegardless of the disease, walking with shoes promoted an increase in the first peak vertical force and the peak horizontal propulsive force. Diabetic individuals had a delay in the lateral gastrocnemius EMG activity with no delay in the vastus lateralis. They also demonstrated a higher peak horizontal braking force walking with shoes compared to barefoot. Diabetic participants also had a smaller second peak vertical force in shod gait and a delay in the vastus lateralis EMG activity in barefoot gait compared to controls.
conclusionsThe change in plantar sensory information that occurs when wearing shoes revealed a different motor strategy in diabetic individuals. Walking with shoes did not attenuate vertical forces in either group. Though changes in motor strategy were apparent, the biomechanical did not support the argument that the use of shoes contributes to altered motor responses during gait.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.